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Difference between revisions of "Da Vinci Risk Based Contract Member Identification FHIR IG Proposal"

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This page documents a [[:category:Pending FHIR IG Proposal|Pending]] [[:category:FHIR IG Proposal|FHIR IG Proposal]]
 
This page documents a [[:category:Pending FHIR IG Proposal|Pending]] [[:category:FHIR IG Proposal|FHIR IG Proposal]]
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=Breast Radiology Profiles=
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='''Risk Based Contract Member Identification'''=
  
 
==Owning Workgroup==
 
==Owning Workgroup==
−
HL7 Clinical Interoperability Council (CIC)
+
Financial Management
  
 
==Committee Approval Date:==
 
==Committee Approval Date:==
−
May 2019
+
'''TBD'''
  
 
==Publishing Lead==
 
==Publishing Lead==
−
Richard Esmond (richard.esmond@gmail.com)
+
Nagesh (Dragon) Bashyam (nagesh.bashyam@drajer.com)
  
 
==Contributing or Reviewing Work Groups==
 
==Contributing or Reviewing Work Groups==
−
  HL7 Clinical Information Modeling Initiative (CIMI)
+
Attachments (Now PIE!)
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  HL7 Imaging Integration / DICOM
 
  
 
==FHIR Development Project Insight ID==
 
==FHIR Development Project Insight ID==
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1363
+
1517
  
 
==Scope of coverage==
 
==Scope of coverage==
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The breast radiology implementation guide intends to formalize the radiology-specific data-elements sufficient to support breast cancer diagnosis, treatment and research, focusing on the key data necessary to facilitate clinical decision-making for medical and surgical oncologists, pathologists and the referring physician community of general practices Obstetrics and gynecology (OB/GYN) clinicians who order the vast majority of screening mammography procedures.
+
The implementation guide will reuse the existing US Core Patient profile and bulk data to support patient inclusion in a risk based contract or create such a patient in the PM/EHR if the patient does already exist and the PM/EHR has the capability.
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The implementation guide is expected to incrementally cover a wide variety breast radiology use cases, while supporting secondary data use in for clinical research, cancer registry reporting.</span>
 
  
 
==Content location==
 
==Content location==
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<i><span>https://github.com/HL7/fhir-breast-radiology-ig</span></i>
+
https://github.com/HL7/davinci-rbc
  
 
==Proposed IG realm and code==
 
==Proposed IG realm and code==
−
us/breast-radiology
+
us/DaVinci-RBC
  
 
==Maintenance Plan==
 
==Maintenance Plan==
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The CIC WG is aware and willing to maintain the content in the future. Among participants, at least MITRE, MRS and PenRad are committed to the maintenance of the content.
+
Da Vinci project intends to provide ongoing support of this implementation guide
−
 
 
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This IG comprises FHIR Profiles for breast radiology core data elements long established to be critical for breast cancer diagnosis and staging within the scope of radiology.
 
−
 
 
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In the first 'For Comment' cycle the terminology bindings are preliminary, and in some cases, defined in terms of local codes only.
 
−
 
 
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Our team is collaborating with the VA SOLOR groups, RSNA RadLex and Regenstrief (LOINC) to organize and fund the required unique concept authoring efforts that will be necessary to sufficiently define the data-elements and value-sets represented in the 'For Comment' and 'Informative' breast-radiology draft ballot cycles.
 
  
 
==Short Description==
 
==Short Description==
−
Breast Radiology CIMI Logical Models and FHIR Profiles.
+
Enable systems to exchange a roster of patients for inclusion in a risk based contract
  
 
==Long Description==
 
==Long Description==
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The first iteration of the CIMI logical models and FHIR Profiles for breast radiology reporting will be focused on the core modeling structures, patterns and informational relationships between these architectural elements. Our group has works extensively with the HL7 Orders and Observations workgroup to investigate the numerous 'cross cutting' concerns that confront many similar projects.
+
The implementation guide will define how to use the bulk data IG for payers and providers to synchronize data from practice management and EHRs, and to enable providers and payer organization to validate enrollment in Value-Based Care (VBC) programs at the point of care and for population level program management.  
−
 
 
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This IG defines FHIR profiles for data elements that are either directly or indirectly used in the reporting of breast radiology.
 
  
 
==Involved parties==
 
==Involved parties==
−
The breast-radiology IG is being authored through a formal collaboration under the HL7-CIC workgroup with a wide range of organizations and individual contributors that informally refer the themselves as the 'Cancer Interoperability' Group, which includes representatives from the FDA, NIH, CCO, SBI, HSPC, CiiC, ACS, various health IT vendors and interested solution vendors.
+
This implementation guide has been developed by U.S. Payer organizations, providers, and EHR as part of the Da Vinci project.
−
 
 
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The American College of Radiology (ACR) has will established and long standing guidelines that have been in common and broad use for almost two decades. The Radiological Society of North America (RSNA) and the Society of Breast Imaging (SBI) which the breast focused arm of the ACR are all represented on the subject matter expert team that is reviewing all content and will be used as the definitive source of truth for all our near-term deliverables.
 
  
 
==Expected implementations==
 
==Expected implementations==
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  MITRE's Standard Health Record Collaborative
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Da Vinci participants -
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  PenRad, Inc.
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{| class="wikitable"
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  Mammography Reporting System, inc (MRS).
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| colspan="2" |'''1) Cambia Healthcare Solutions'''
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+
|-
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  PenRad and MRS represent well over fifty percent of the almost forty million screening mammography studies performed each year. PenRad and MRS are also committed to participating in FHIR Connectathons to proof the draft profiles.
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| colspan="2" |2) BCBS Michigan
 +
|-
 +
| colspan="2" |3) United Healthcare
 +
|-
 +
| colspan="2" |4) BCBS Florida
 +
|-
 +
| colspan="2" |5) Humana
 +
|}
  
 
==Content sources==
 
==Content sources==
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  American College of Radiology Breast Reporting Guidelines
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Requirements are drawn from payer organizations as part of the Da Vinci initiative
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  College of American Pathology (CAP) Breast Reporting SDC Forms
 
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  Society of Breast Imaging Reporting Guidelines
 
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  In addition to sources specifically providing clinical content related to cancer and breast cancer, from a modeling perspective, CIMI models were also used as a source.</span>
 
  
 
==Example Scenarios==
 
==Example Scenarios==
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  Capture and delivery of breast radiology reports to EHR systems
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A payer may provide a roster of patients to a clinical system to notify patient enrollment
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  Reporting to cancer registries
+
 
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  Reporting for clinical trials
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An EHR may provide a roster of patients to a payer to confirm patient enrollment
  
 
==IG Relationships==
 
==IG Relationships==
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The breast-radiology project is intended to target compliance with US Core v4.
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This project build on US Core 3.1.0 (based on R4) and the HRex implementation guide for the automated exchange of information between a payer and provider using standard profiles and constraints on existing exchange methods, including Bulk Data.
  
 
==Timelines==
 
==Timelines==
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  For Comment September 2019 Ballot
 
−
  Informative Jan 2020 Ballot
 
−
  STU May 2020 Ballot
 
  
 +
Tentative Connectathon in December and/or January.
  
 +
Submit for STU Ballot for 2020 Jan Ballot cycle
 
==FMG Notes==
 
==FMG Notes==

Revision as of 20:22, 23 October 2019

OpenHotTopic.GIF

This page documents a Pending FHIR IG Proposal



Risk Based Contract Member Identification

Owning Workgroup

Financial Management

Committee Approval Date:

TBD

Publishing Lead

Nagesh (Dragon) Bashyam (nagesh.bashyam@drajer.com)

Contributing or Reviewing Work Groups

Attachments (Now PIE!)

FHIR Development Project Insight ID

1517

Scope of coverage

The implementation guide will reuse the existing US Core Patient profile and bulk data to support patient inclusion in a risk based contract or create such a patient in the PM/EHR if the patient does already exist and the PM/EHR has the capability.

Content location

https://github.com/HL7/davinci-rbc

Proposed IG realm and code

us/DaVinci-RBC

Maintenance Plan

Da Vinci project intends to provide ongoing support of this implementation guide

Short Description

Enable systems to exchange a roster of patients for inclusion in a risk based contract

Long Description

The implementation guide will define how to use the bulk data IG for payers and providers to synchronize data from practice management and EHRs, and to enable providers and payer organization to validate enrollment in Value-Based Care (VBC) programs at the point of care and for population level program management.

Involved parties

This implementation guide has been developed by U.S. Payer organizations, providers, and EHR as part of the Da Vinci project.

Expected implementations

Da Vinci participants -

1) Cambia Healthcare Solutions
2) BCBS Michigan
3) United Healthcare
4) BCBS Florida
5) Humana

Content sources

Requirements are drawn from payer organizations as part of the Da Vinci initiative

Example Scenarios

A payer may provide a roster of patients to a clinical system to notify patient enrollment

An EHR may provide a roster of patients to a payer to confirm patient enrollment

IG Relationships

This project build on US Core 3.1.0 (based on R4) and the HRex implementation guide for the automated exchange of information between a payer and provider using standard profiles and constraints on existing exchange methods, including Bulk Data.

Timelines

Tentative Connectathon in December and/or January.

Submit for STU Ballot for 2020 Jan Ballot cycle

FMG Notes

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